小儿过敏性紫癜合并睾丸炎的诊断与治疗

• 作 者: 魏仪 吴盛德 王养才 龙春兰 沈炼桔 林涛 何大维 李旭良 刘俊宏 刘星 华燚 陆鹏 张德迎 温晟 魏光辉
• 机 构: 重庆医科大学附属儿童医院泌尿外科,国家儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,儿童发育重大疾病国家国际科技合作基地,
• 出 处: 中华男科学杂志
• 发表日期: 2016年10期
• 关键词: 过敏性紫癜 并发症 睾丸炎 儿童

过敏性紫癜(Henoch-Schnlein purpura,HSP)是一种以全身小血管炎症为主要病变的变态反应性疾病,具体发病机制不明,好发于学龄前儿童,主要累及皮肤、胃肠道、关节和肾脏~[1-2]。HSP特征性临床表现包括皮疹、胃肠道疾病、关节炎和肾脏疾病,但对阴囊受累的认知较少。据报道,男性患儿HSP伴急性阴囊受累的发病率为2%~38%~[2-4]。HSP并发睾丸炎通常出现阴囊疼痛、压痛、阴囊

Henoch-Schnlein purpura (HSP) is an allergic disease characterized by systemic small vessel inflammation. The specific pathogenesis is unknown. It occurs predominantly in preschool children, mainly involving the skin, gastrointestinal tract, Joints and kidneys ~ [1-2]. The characteristic clinical manifestations of HSP include rash, gastrointestinal disorders, arthritis and kidney disease, but less knowledge of scrotum involvement. It is reported that the incidence of HSP in male patients with acute scrotal involvement is 2% ~ 38% ~ [2-4]. HSP complicated with orchitis usually scrotal pain, tenderness, scrotum